Не понятна причина низкого веса

[Dr.Vad]

вот пример женшины 49 лет с ИМТ 15.9 и фолиевой 3.6 при их норме более 7, антитела положительны и биопсия жкт подтвердила целиакию, через 3 месяца на безглютеновой набрала 1.5 кг;

Almost all CD-patients (87%) had at least one value below the lower limit of reference. Specifically, for vitamin A, 7.5% of patients showed deficient levels, for vitamin B₆ 14.5%, folic acid 20%, and vitamin B₁₂ 19%. Likewise, zinc deficiency was observed in 67% of the CD-patients, 46% had decreased iron storage, and 32% had anaemia. Overall, 17% were malnourished (>10% undesired weight loss), 22% of the women were underweight (Body Mass Index (BMI) < 18.5),

[Dr.Vad]

у кого искать целиакию: выделено про вас

CeD screening is recommended in individuals with
(1) autoimmune disease and accompanying symptoms suggestive of CeD;
(2) diseases that may mimic CeD (eg, irritable bowel syndrome [IBS], inflammatory bowel disease [IBD], and microscopic colitis); and
(3) among patients with conditions with a high CeD prevalence: first-degree relatives, idiopathic pancreatitis, unexplained liver enzyme abnormalities, autoimmune hepatitis, primary biliary cholangitis, hyposplenism or functional asplenia with severe bacterial infection, type 1 diabetes mellitus, Hashimoto's thyroiditis and Graves' disease, Sjögren's syndrome, dermatitis herpetiformis, recurrent aphthous syndrome and enamel defects, unexplained ataxia, peripheral neuropathy, delayed menarche or premature menopause, Down syndrome, Turner syndrome, Williams syndrome, chronic fatigue syndrome, IgA nephropathy, and IgA deficiency.

CeD serology should be the initial step in the screening process. However, for patients with any of the aforementioned disorders who are undergoing upper endoscopy, biopsies should be performed to rule out CeD.

[LenaVologjina]

Спасибо ,Вадим Валерьевич ,я поняла направление.Еще один вопрос:мне принимать фолиевую кислоту?Гастроэнтеролог говорит,что пока не нужно,самостоятельно придет в норму.Какую дозировку,если нужно начать прием?Благодарю за ответ.